Provider Demographics
NPI:1437384872
Name:VITA HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:VITA HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:FIDELIA
Authorized Official - Middle Name:NKIRU
Authorized Official - Last Name:UZOWULU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-699-9400
Mailing Address - Street 1:3500 NORTHSTAR RD
Mailing Address - Street 2:SUITE 1221
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-2668
Mailing Address - Country:US
Mailing Address - Phone:972-699-9400
Mailing Address - Fax:972-699-9403
Practice Address - Street 1:3500 NORTHSTAR RD
Practice Address - Street 2:SUITE 1221
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-2668
Practice Address - Country:US
Practice Address - Phone:972-699-9400
Practice Address - Fax:972-699-9403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health